| Literature DB >> 17643213 |
Ryuji Tsutsumi1, Yasuhiro Nagata, Akihito Enjoji, Yasuharu Ohno, Hodaka Kamito, Takashi Kanematsu.
Abstract
Situs ambiguous is an unpredictable anomaly characterized by disorder of the organ arrangement in the chest and abdomen. We report a case of situs ambiguous found incidentally in a 73-year-old man with gastric cancer. Preoperative imaging showed polysplenia, a bridging liver, a midline gall bladder, and pancreatic divisum. The vessels around the stomach were clearly shown by computed tomography with multiplanar reconstruction (MPR). Computed tomography with MPR proved a good diagnostic tool for identifying both the abdominal vessels and the location of the organs. Based on a precise evaluation of this unusual anatomy, we performed distal gastrectomy with dissection of the regional lymph nodes.Entities:
Mesh:
Year: 2007 PMID: 17643213 DOI: 10.1007/s00595-006-3445-9
Source DB: PubMed Journal: Surg Today ISSN: 0941-1291 Impact factor: 2.540